Surgical/Anesthesia

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December 2017
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Frailty linked to increased morbidity after ambulatory general surgery

Editor's Note Frailty was associated with postoperative morbidity in patients having ambulatory general surgery procedures, independent of age, type of anesthesia, and other comorbidities, this study finds. In this study of 140,828 patients older than 40 years of age, frailty was associated with increased adjusted odds of 30-day morbidity after…

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By: Judy Mathias
October 16, 2017
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New app helps protect patients’ brains during surgery

Editor's Note A new app developed by students at the University of Wisconsin-Milwaukee’s (UWM’s) App Brewery and a neuropsychologist at the Medical College of Wisconsin (MCW) monitors critical brain functions during neurosurgical procedures in which patients are awake. The app, called “NeruoMapper,” assists neurosurgeons who are removing tumors by helping…

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By: Judy Mathias
October 12, 2017
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Comparison of internal medicine, general surgery residents’ postop risk assessments

Editor's Note Risk assessments of postoperative complications and death in surgically complex patients were not significantly different between internal medicine and general surgery residents in this study. However, both groups overestimated the risks compared with the American College of Surgeons’ National Surgical Quality Improvement Project (ACS NSQIP) risk adjusted model.…

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By: Judy Mathias
October 12, 2017
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Study: Antibiotic prophylaxis not linked to postop antibiotic-resistant infections

Editor's Note Surgical patients who received antibiotic prophylaxis before low-risk procedures did not have an increased risk for postoperative antibiotic-resistant infections, this study finds. Of 22,138 patients included in the analysis, 689 developed an infection within 30 days after surgery. Of these, 550 (80%) had received antibiotic prophylaxis, and 338…

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By: Judy Mathias
October 11, 2017
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Diffusion, implementation of acute care surgery across the US

Editor's Note Acute care surgery (ie, an organized system of trauma, general surgery, and critical care) implementation has occurred unevenly across the US, with rural communities and regions the slowest, this study finds. Of 1,690 hospitals surveyed, 272 had implemented acute care surgery by 2015−an increase from 34 in 2001…

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By: Judy Mathias
October 9, 2017
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Factors linked to readmission after total hip

Editor's Note All-cause readmission is the only metric in widespread use, but it overlooks important information that enables readmission risk to be understood, this study finds. Of 514,455 patients in the UK analyzed over a 10-year period, there were 30,489 all-cause readmissions, 16,499 readmissions related to the surgical site, and…

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By: Judy Mathias
October 5, 2017
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FDA issues Safety Alert for intraocular TMV injections

Editor's Note The Food & Drug Administration (FDA) on October 3 issued a Safety Alert saying the agency had received an adverse event report on a patient who was diagnosed with bilateral hemorrhagic occlusive retinal vasculitis after being administered injections of a compounded triamcinolone, moxifloxacin, vancomycin (TMV) formulation in each…

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By: Judy Mathias
October 5, 2017
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The financial cost of physician burnout

Editor's Note A lack of awareness of the financial burden of physician burnout and uncertainty about what can be done to reduce or prevent it have been barriers to organizations taking action to address the problem, finds this study. Reviewing available evidence and analyzing the financial costs of physician burnout…

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By: Judy Mathias
September 28, 2017
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Preop conditions that predict postop outcomes, mortality in elderly

Editor's Note In patients 85 years of age and older, surgical complexity and certain geriatric variables (malnutrition, frailty), which are overlooked in American Society of Anesthesiologists and most other scores, were relevant in predicting postoperative outcomes and mortality, finds this study. Of 127 patients who completed follow-up, 30-day mortality was…

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By: Judy Mathias
September 27, 2017
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Study: Bariatric surgery lowers cancer risk

Editor's Note In this large multi-site study, bariatric surgery was associated with a lower risk of cancer, particularly obesity-associated cancers, such as postmenopausal breast cancer, endometrial cancer, and colon cancer. The study included five study sites with 22,198 patients who had bariatric surgery and 66,427 nonsurgical matched subjects. At a…

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By: Judy Mathias
September 26, 2017
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